MCQ’s / QCM Auditoriumcacvs.org/pdf/CACVS MCQ english version.pdf · What proportion of patients...
Transcript of MCQ’s / QCM Auditoriumcacvs.org/pdf/CACVS MCQ english version.pdf · What proportion of patients...
MCQ’s / QCM
Auditorium
• Thursday
What proportion of patients with acute Type A dissection
undergo cardiac surgery (1 answer)
1. 80/90%
2. 70/80%
3. 60/70%
4. 50/60%
M. Thompson
Which of the following techniques can enhance accuracy of
endograft deployment in the aortic arch? (1 answer)
1. Electroencephalography (EEG)
2. Deep hypothermia
3. Heart rapid pacing
R. Chiesa
Which statement regarding debranching hybrid procedures in
the arch is wrong? (1 answer)
1. 30-day mortality is 6-19%.
2. Debranching in TEVAR shows higher
reinterventions rates that TEVAR alone
3. According to metaanalysis data, partial hybrid
arch repairs shows higher type I EL rates than total
arch debranching
4. Stroke is a relevant complication
5. There is enough evidence to proof that staged
approach is better than simultaneous.
D. Boeckler
Which is the most common complication to endovascular arch
repair? (1 answer)
1. Myocardial infarction
2. Respiratory insufficiency
3. Renal Failure
4. Cerebrovascular accident
T. Resch
Which of the following is an absolute indication for left
subclavian bypass prior to coverage during TEVAR? (1 answer)
1. Dominant left vertebral artery
2. Left internal mammary coronary graft
3. Coverage of left subclavian and 25cm of aorta
4. Pre-existing infrarenal aneurysm repair
I. Loftus
Under what conditions should perfusion of the aneurysm sac
be mandatory? (3 answers)
1. Coverage of thoracic aorta from left subclavian to
diaphragm level
2. As above including pre-existing infra-renal repair
3. Coverage of aorta from left carotid to aortic
bifurcation
4. Type 4 TAAA in the presence of bilateral internal
iliac occlusions
5. Never
K. Ivancev
How many brands of cheese in France ? (1 answer)
1. 1251
2. 1002
3. 843
4. 525
5. 365
J-P. Becquemin
The reason for stentgrafting of all uncomplicated type B
dissections is that stent grafting induces: (1 answer)
1. Lower mortality rate
2. Reduced paraplegia rate
3. False lumen thrombosis
4. Great thrill and fun
5. Less need for antihypertensive medication
J. Brunkwall
What is the most common indication for REintervention after
TEVAR for acute type-B aortic dissection? (1 answer)
1. Malperfusion
2. Compression of true lumen
3. Aortic dilatation
4. Occlusion of aortic side-branches
5. Rupture
M. Björck
What are the risk factors of retrograde dissection after TEVAR ?
(1 answer)
1. TEVAR for dissection
2. Use of endograft with proximal bare stent
3. TEVAR in patients with variations of origin of supra
aortic trunks
4. All answers
L. Canaud
Who won the Golden Ball award in 2012? (1 answer)
1. Ronaldo
2. Iniesta
3. Xavi
4. Messi
J-P. Becquemin
• Friday
What is the proper statement: (1 answer)
1. 3D US is an invasive imaging technique because it
requires iodine injection
2. 3D US may be useful for carotid plaque
characterisation, for abdominal aortic aneurysm
2diameter and volume assessments
3. 3D US is the technique of reference to diagnose
acute deep vein thrombosis of the lower limbs
A. Long
4D MRI is a useful tool because: (1 wrong statement)
1. It is non-invasive
2. It does not use ionizing radiation
3. Can give anatomical and functional information in
a single acquisition
4. Can give information to guide risk stratification in
patients with aortic dissection
5. Cannot accurately quantify false lumen thrombus
R. Clough
Case-Specific Rehearsal: (1 answer)
1. Only allows procedural planning
2. Is useless for patient selection
3. Optimizes C-arm positioning
4. Aids in cannulation of contralateral limb
5. Identifies type II endoleak
I. Van Herzeele
AFX endograft. Which of the following statements is not true:
(1 answer)
1. The AFX endograft seperates seal and fixation
2. The highest migration force is at the level of the
flow divider of the endograft
3. The flow divider of the AFX endograft is sitting at
the native aortic bifurcation
4. <30% of native aortic bifurcations are <20 mm in
AAA-patients.
J-P. de Vries
The Anaconda endoprothesis can be repositioned: (2 correct
answers)
1. At the level of the legs
2. At the level of the body correct
3. After the dropping of the controlateral leg correct
4. After the dropping of the homolateral leg
D. Midy
What actress suggested that her epitaph should mention these
mysterious numbers: 97-62-92 (1 answer)
1. Jayne Mansfield
2. Marilyn Monroe
3. Debbie Reynolds
4. Rita Hayworth
J-P. Becquemin
Outpatient EVAR is not possible in: (1 answer)
1. Old patient
2. GFR < 45 ml/min
3. Patient without adult observer assistance for the
first 24 hours
4. EVAR performed under GA
5. EVAR with percutaneous access
M. Lachat
Type 2 Endoleak (T2E) : one of the following assumption is
correct
1. T2E are associated with more deaths
2. Persistent and Recurrent T2E are associated with
aneurysm sac enlargement
3. T2E are associated with more ruptures
4. Transient and early T2E lead to more adverses
outcomes
S. El Batti
Is MRI after the addition of a blood pooling contrast agent
more suitable than CTA for the detection of type II endoleaks?
(one answer)
1. Yes, MRI should always be performed as standard
imaging follow-up after EVAR
2. Yes, but only in case of an enlarging aneurysm after
EVAR and no endoleak on CTA there is an
additional value of MRI
3. No, MRI is equal to CTA in detection of endoleaks
F. Moll
Which of the following statements regarding the inflammatory
response after EVAR is wrong? (one answer)
1. Vascular injury and manipulation of the introducer catheters
and sheaths inside the aneurysmal thrombus are among the
main causes of postimplantation syndrome after EVAR
2. Implantation of woven polyester stent grafts is associated
with a stronger inflammatory response than PTFE endografts
3. The postimplantation syndrome after EVAR is always
associated with adverse clinical events.
4. The biological response following EVAR is not always
spontaneously attenuated and could lead to the development
of SIRS even several days
C. Liapis
Concerning arterial endofibrosis in cycling atheletes, what
statement is correct: (one answer)
1. Typical pain is located at the calf, during a submaximal
stress
2. The usual location is the common femoral artery
3. Stress test with pressure measurements is always positive
4. Transluminal angioplasty is the primary treatment of
stenosing endofibrosis
5. Surgical prosthetic bypass is the primary treatment
P. Feugier
How many champagne bottles are drunk at the Moulin Rouge
every year? (1 answer)
1. 1 000 000
2. 500 000
3. 250 000
4. 100 000
5. 50 000
J-P. Becquemin
The patency rate of tibial angioplasty: (1 answer)
1. Is typically higher than the limb salvage rate in a given clinical
series
2. Has mostly been assessed with duplex in published series and
there is limited angiographic patency data available
3. Is the same in patients with renal failure as for patients without
renal failure
4. Is always associated with limb salvage
5. Is better in patients with isolated tibial disease than it is in
patients with multilevel occlusive disease
P. Schneider
Who was #1 ATP (tennis) in 2011? (1 answer)
1. Federer
2. Nadal
3. Murray
4. Djokovic
J-P. Becquemin
• Saturday
Treatment with clopidogrel as part of dual APT is: (one answer)
1. Contraindicated following placement of a drug-
eluting stent (DES)
2. Highly beneficial in patients with recent lacunar
strokes and symptomatic patients undergoing CEA
3. Likely to be safe in open peripheral arterial surgery
when combined with good hemostasis
4. Not associated with major bleeding complications
within 5 days of CABG surgery
C. Saadeh
Perioperative myocardial infarction occurring with vascular
intervention or vascular surgery: (1 answer)
1. Is associated with substantially increased mortality
in comparison to patients who did not experience
a myocardial infarction
2. Is not associated with an increase in mortality
3. Typically occurs on the table
4. Is always best to treat medically since the patient
will have recently undergone a significant vascular
procedure
5. Causes about the same morbidity for the patient
no matter how high the cardiac enzymes rise
P. Schneider
In the Asymptomatic Carotid Stenosis and Risk of Stroke
(ACSRS) study which of the following was not found to be a
predictor of future stroke? (1 answer)
1. History of contralateral neurological symptoms
2. Absence of discrete white areas of the carotid
plaque on ultrasound
3. Increasing stenosis severity
4. Large juxtaluminal black (hypoechoic) areas on
ultrasound
5. None of the above, which were all stroke
predictors
S. Kakkos
The highest annual risk of stroke is from an asymptomatic
carotid stenosis of: (1 answer)
1. 70-79%
2. 80-89%
3. 90-99%
4. 70-99%
A. Halliday
Treatment of carotid artery stenoses within 7 days of
symptoms: (1 answer)
1. CAS and CEA represent a similar risk
2. CAS represents a higher risk
3. CEA represents a higher risk
4. Neither CAS nor CEA should be performed within 7
days
G. Fraedrich
The one year mortality after a successful TAA repair is higher in
case of: (1 answer)
1. Large aneurysm diameter at presentation
2. Presence of symptoms at presentation
3. Frailty of patients
4. TEVAR treatment
5. Open repair treatment
J-P. Becquemin
In patient with a Marfan disease, replacement of the aortic
arch should be considered when the diameter of the ascending
aorta is: (1 answer)
1. > 60 mm
2. > 50 mm
3. > 40 mm
J-P. Becquemin
The worldwide experience with hybrid repair of the arch shows
that mortality: (1 answer)
1. is higher for zone 0 landing zone
2. is higher for zone 1 landing zone
3. is similar for any landing zone
J-P. Becquemin
The overlapping length of stents for chimney graft in the arch
should be: (1 answer)
1. 2 to 3 cm
2. 3 to 5 cm
3. 5 to 7 cm
4. 7 to 10 cm
5. more than 10 cm
J-P. Becquemin
Inner to Inner walls measurement on Duplex scan : (1 answer)
1. is reliable to predict rupture
2. take into account thrombus thickness
3. is reproducible
4. it reflects more accurately the AAA anatomy
J-P. Becquemin
Only one of these novel heroines did not commit suicide: (1
answer)
1. Emma Bovary Flaubert
2. Manon Lescaut Abbe Prevost
3. Anna Karenine Tolstoi
4. Mouchette Bernanos
J-P. Becquemin